costrim v tablet - Tinidazole (NA) + Clotrimazole (NA) medicine

costrim v tablet

4.5 (12 reviews)
๐Ÿญ Espee Formulation Pvt Ltd ๐Ÿ“ฆ Varies by brand ๐Ÿ’Š Allopathy ๐Ÿ“… Updated: Aug 22, 2026
๐Ÿ“‹ Prescription Required ๐Ÿ’Š Generic Available
Medically Reviewed
SaathiMed Expert Panel | Aug 22, 2026

What is costrim v tablet used for?

Costrim V (Tinidazole + Clotrimazole) is used to treat GASTRO INTESTINAL. It contains Tinidazole (NA) + Clotrimazole (NA), which Tinidazole inhibits DNA synthesis in protozoa; Clotrimazole inhibits ergosterol . Always consult your doctor before use. Take as prescribed.

  • Generic Name: Tinidazole + Clotrimazole
  • Manufacturer: Espee Formulation Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: A
  • Prescription Required: Yes
๐Ÿ’ก Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

๐Ÿ’Š costrim v tablet Uses & Benefits

Trichomoniasis, Bacterial vaginosis, Giardiasis, Amebiasis, Candidal infections

Off-label uses: Helicobacter pylori eradication, Periodontitis

๐Ÿ“‹ Drug Information

Generic Name(s)Tinidazole + Clotrimazole
Brand NameCostrim V
ManufacturerEspee Formulation Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassGASTRO INTESTINAL
Action ClassAntiprotozoal + Antifungal
Route of AdministrationOral
StorageStore at room temperature (20-25ยฐC), protect from light and moisture.
Shelf LifeAs per manufacturer

๐Ÿ”ฌ Pharmacology (PK/PD)

Pharmacokinetics

AbsorptionTinidazole is well absorbed orally; Clotrimazole is poorly absorbed from the GI tract.
DistributionTinidazole distributes widely into tissues including CNS; Clotrimazole acts locally in the gut.
Protein BindingTinidazole: ~12%; Clotrimazole: ~90%
MetabolismTinidazole: Hepatic via CYP3A4; Clotrimazole: Hepatic to inactive metabolites.
Half-LifeTinidazole: 12-14 hours; Clotrimazole: 3-6 hours.
ExcretionTinidazole: Renal (25% unchanged); Clotrimazole: Feces (biliary).
BioavailabilityTinidazole: ~100%; Clotrimazole: <1% (oral).
Onset of ActionWithin 1-2 hours for tinidazole; clotrimazole acts locally within hours.
Peak Plasma TimeTinidazole: 2 hours; Clotrimazole: Not applicable (local action).
Duration of ActionTinidazole: 12-24 hours; Clotrimazole: Local effect persists during therapy.

How It Works

Tinidazole inhibits DNA synthesis in protozoa; Clotrimazole inhibits ergosterol synthesis in fungi.

Mechanism Steps

1Tinidazole enters protozoal cells and undergoes reduction by ferredoxin.
2Reduced tinidazole forms toxic radicals that damage DNA.
3Clotrimazole binds to fungal 14-alpha demethylase, inhibiting ergosterol synthesis.

๐Ÿ’ก How to Take costrim v tablet

Follow your doctor's prescription exactly.

โš ๏ธ Side Effects of costrim v tablet

โœ… Common Side Effects

  • Nausea
  • Metallic taste
  • Headache
  • Vaginal discharge
  • Abdominal pain

๐Ÿšจ Serious Side Effects

  • Seizures
  • Peripheral neuropathy
  • Stevens-Johnson syndrome
  • Hepatotoxicity

โš ๏ธ Rare Side Effects

  • Pancreatitis
  • Leukopenia
  • Anaphylaxis

Consult your doctor if you experience any unusual symptoms.

๐Ÿ”ฌ Drug Interactions

โš ๏ธ DrugSeverityEffect
Warfarin Major Increased INR and bleeding risk
Disulfiram Major Psychotic reactions
Alcohol Major Disulfiram-like reaction
CYP3A4 inducers Moderate Reduced tinidazole efficacy
CYP3A4 inhibitors Moderate Increased tinidazole toxicity

๐Ÿšจ Major Interactions

  • Warfarin
  • Disulfiram
  • Alcohol
  • CYP3A4 inducers/inhibitors

โšก Moderate Interactions

  • Lithium
  • Phenytoin
  • Cyclosporine

โ„น๏ธ Minor Interactions

  • Oral contraceptives
  • Antacids

๐Ÿฝ๏ธ Food Interactions

Avoid alcohol-containing foods; food may delay absorption but not extent.

๐Ÿท Alcohol Interaction

Disulfiram-like reaction (nausea, vomiting, flushing) with tinidazole.

๐Ÿ›ก๏ธ Safety & Warnings

๐Ÿšซ Contraindications

Hypersensitivity to nitroimidazoles or azoles, Pregnancy (first trimester), Lactation, Blood dyscrasias, CNS disorders

๐Ÿ“Š Monitoring Parameters

LFTs, CBC, Neurological symptoms, Signs of superinfection

๐Ÿคฑ Lactation Safety

Tinidazole excreted in milk; avoid breastfeeding during therapy and for 3 days after last dose.

๐Ÿ’Š Overdose Management

Symptomatic and supportive; no specific antidote; hemodialysis may remove tinidazole.

โฐ Missed Dose

Take as soon as remembered; if near next dose, skip missed dose; do not double.

๐Ÿ‘จโ€โš•๏ธ Reviewed by Expert

SaathiMed Expert Panel

MD, PhD - Pharmacology

Last reviewed on: Aug 22, 2026

๐Ÿ”— View Profile

โญ User Reviews

Regular Customer Jul 10, 2026

Effective and reliable. Worked as expected.

Trusted Reviewer Jul 10, 2026

This medicine was effective for me. I followed the doctor's advice.

Regular Customer Jul 10, 2026

This medicine was effective for me. I followed the doctor's advice.

Happy Patient Jul 10, 2026

Found this to be a helpful product. Good results.

Happy Patient Jul 10, 2026

Effective and reliable. Worked as expected.

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